Friendship Assisted Living, Inc.
Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Roanoke, VA
Friendship Assisted Living, Inc.
Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Roanoke, VA
Friendship Assisted Living, Inc. is located in Roanoke, Virginia. It offers independent living, assisted living, memory care, and rehabilitation services. The community is designed to support residents' health and well-being through social engagement, fitness opportunities, and access to healthcare.
120-bed community Rank #88 / 365Bed count — State benchmarkedThis home is ranked 88th out of 365 homes we track in Virginia for bed count. Shows this facility's certified or reported bed count compared to other Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 19 / 100 Rank #363 / 435Walk Score — State benchmarkedThis home is ranked 363rd out of 435 homes we track in Virginia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Virginia facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeAssisted Living Facility
StatusActive
ExpirationMay 31, 2028
Friendship Assisted Living, Inc. is administered by Alex Parker.
Rehabilitation Services
Respite Care
Specific ProgramsRehab & Therapy
Inspection History
In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2021 vs. Virginia state average
Overall vs. VA average
1 Worse
Metrics worse than Virginia average:
• Inspection deficiency rate (25% above) 1 Better Metrics better than Virginia average:
• Inspections with deficiencies (56% below)
• Inspection deficiency rate (25% above) 1 Better Metrics better than Virginia average:
• Inspections with deficiencies (56% below)
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
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Total inspections
Combined count of all inspections conducted at this facility.
| 5 | 14 | This facility has had 64% fewer total inspections than the Virginia average (5 vs. VA avg 14). More inspections can mean more regulatory scrutiny rather than worse care.↓ 64% fewer |
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Inspections with deficiencies
Inspections that uncovered at least one regulatory deficiency.
| 4 | 9 | This facility has 56% fewer inspections with deficiencies than a typical Virginia nursing home (4 vs. VA avg 9).↓ 56% better |
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Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 80% | 64% | This facility has 16 percentage points higher inspection deficiency rate than a typical Virginia nursing home (80% vs. VA avg 64%).↑ 16% worse |
What does this home offer?
Pets Allowed
Places of interest near Friendship Assisted Living, Inc.
4.4 miles from city center
Estimated distance in miles from Roanoke's city center to Friendship Assisted Living, Inc.'s address, calculated via Google Maps.
Calculate Travel Distance to Friendship Assisted Living, Inc.
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Info below is compiled from CMS reports & the VA Depts. of Social Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Virginia average is: 76.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Our Lady of the Valley | NH AL MC RC SNF | Roanoke (Gainsboro) | 127
Facility
127
VA AVG
96
Rank
#76 / 365 |
87.4%
Facility
87.4%
VA AVG
70.4
Rank
#62 / 297 | +24% | 4.13
Facility
4.13
VA AVG
3.74
Rank
#40 / 70 | -42% | +10% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 74 | 14
Facility
14
VA AVG
38.4
Rank
#13 / 69 | 4.7
Facility
4.7
VA AVG
8.9
Rank
#16 / 69 | - | 111 | A+ |
68
Facility
68
VA AVG
45
Rank
#73 / 435 | David Rawlings | $14.8MFiscal year ending 06/2024
Facility
$14.8MFiscal year ending 06/2024
VA AVG
$19.9M
Rank
#42 / 69 | $8.2MFiscal year ending 06/2024
Facility
$8.2MFiscal year ending 06/2024
VA AVG
$11.3M
Rank
#39 / 69 | 55.5%Fiscal year ending 06/2024
Facility
55.5%Fiscal year ending 06/2024
VA AVG
76.3%
Rank
#24 / 69 | 495357 | ||||
| Virginia Veterans Care Center | NH | Roanoke (Shenandoah Avenue Northwest) | 3
Facility
3
VA AVG
96
Rank
#365 / 365 |
100.0%
Facility
100.0%
VA AVG
70.4
Rank
#1 / 297 | +42% | 4.94
Facility
4.94
VA AVG
3.74
Rank
#32 / 70 | +5% | +32% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 74 | 16
Facility
16
VA AVG
38.4
Rank
#20 / 69 | 5.3
Facility
5.3
VA AVG
8.9
Rank
#22 / 69 | - | 3 | - |
19
Facility
19
VA AVG
45
Rank
#363 / 435 | Todd Barnes | $26.4MFiscal year ending 06/2024
Facility
$26.4MFiscal year ending 06/2024
VA AVG
$19.9M
Rank
#20 / 69 | $24.7MFiscal year ending 06/2024
Facility
$24.7MFiscal year ending 06/2024
VA AVG
$11.3M
Rank
#5 / 69 | 93.3%Fiscal year ending 06/2024
Facility
93.3%Fiscal year ending 06/2024
VA AVG
76.3%
Rank
#9 / 69 | 495274 | ||||
| Brandon Oaks Nursing and Rehabilitation Center | NH AL HC IL MC SNF | Roanoke (Westland) | 43
Facility
43
VA AVG
96
Rank
#313 / 365 |
53.5%
Facility
53.5%
VA AVG
70.4
Rank
#240 / 297 | -24% | 6.00
Facility
6.00
VA AVG
3.74
Rank
#14 / 70 | +28% | +60% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 74 | 12
Facility
12
VA AVG
38.4
Rank
#8 / 69 | 4.0
Facility
4.0
VA AVG
8.9
Rank
#9 / 69 | - | 23 | - |
33
Facility
33
VA AVG
45
Rank
#282 / 435 | Heather Neff | $7.2MFiscal year ending 12/2023
Facility
$7.2MFiscal year ending 12/2023
VA AVG
$19.9M
Rank
#65 / 69 | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
VA AVG
$11.3M
Rank
#45 / 69 | 96.3%Fiscal year ending 12/2023
Facility
96.3%Fiscal year ending 12/2023
VA AVG
76.3%
Rank
#6 / 69 | 495373 | ||||
| Friendship Retirement Community | NH AL IL MC RC SNF | Roanoke (Hollins) | 253
Facility
253
VA AVG
96
Rank
#5 / 365 |
91.0%
Facility
91.0%
VA AVG
70.4
Rank
#42 / 297 | +29% | 4.08
Facility
4.08
VA AVG
3.74
Rank
#31 / 70 | +4% | +9% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 74 | 18
Facility
18
VA AVG
38.4
Rank
#24 / 69 | 4.5
Facility
4.5
VA AVG
8.9
Rank
#15 / 69 | - | 230 | A+ |
48
Facility
48
VA AVG
45
Rank
#185 / 435 | Friendship Foundation Inc | $29.8MFiscal year ending 06/2024
Facility
$29.8MFiscal year ending 06/2024
VA AVG
$19.9M
Rank
#13 / 69 | $15.3MFiscal year ending 06/2024
Facility
$15.3MFiscal year ending 06/2024
VA AVG
$11.3M
Rank
#16 / 69 | 51.5%Fiscal year ending 06/2024
Facility
51.5%Fiscal year ending 06/2024
VA AVG
76.3%
Rank
#28 / 69 | 495092 |
Financial Assistance for
Nursing Home in Virginia
Friendship Assisted Living, Inc. is located in ROANOKE, Virginia.
Here are the financial assistance programs available to residents in Virginia.
Frequently Asked Questions about Friendship Assisted Living, Inc.
Is Friendship Assisted Living, Inc. in a walkable area?
Friendship Assisted Living, Inc. has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
When does Friendship Assisted Living, Inc.'s license expire?
According to VA state health department records, Friendship Assisted Living, Inc.'s license expires on May 31, 2028.
Are pets allowed at Friendship Assisted Living, Inc.?
Yes, Friendship Assisted Living, Inc. allows residents to bring their pets.
Who is the administrator of Friendship Assisted Living, Inc.?
Alex Parker is the administrator of Friendship Assisted Living, Inc..
How many beds does Friendship Assisted Living, Inc. have?
Friendship Assisted Living, Inc. has 120 beds.
Are there photos of Friendship Assisted Living, Inc.?
Yes — there are 11 photos of Friendship Assisted Living, Inc. in the photo gallery on this page.
What is the address of Friendship Assisted Living, Inc.?
Friendship Assisted Living, Inc. is located at 320 Hershberger Road, Roanoke, VA 24012.
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